Provider Demographics
NPI:1679608376
Name:POST ROAD PEDIATRICS,LLP
Entity type:Organization
Organization Name:POST ROAD PEDIATRICS,LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASSAF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-443-6005
Mailing Address - Street 1:616 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-3376
Mailing Address - Country:US
Mailing Address - Phone:978-443-6005
Mailing Address - Fax:978-443-8429
Practice Address - Street 1:616 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-3376
Practice Address - Country:US
Practice Address - Phone:978-443-6005
Practice Address - Fax:978-443-8429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA153615208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty